Rhogam Medication Template

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ACTIVE LEARNING TEMPLATE: Medication

STUDENT NAME______________________________________
Rhogam
MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________

CATEGORY CLASS_______________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action Therapeutic Use


Prevent production of Rh (D) antibodies in Prevention of antibody response and
Rh (D) negative patients who were exposed hemolytic disease of the newborn in future
to Rh (D) positive blood. Increase platelet pregnancies of women who have conceived
counts in patients with ITP. a Rh (D) positive fetus

Complications Medication Administration


Medication Administration dizziness, headache, Following Delivery IM (Adults): Hyper
hypertension, hypotension, diarrhea, nausea, vomiting, RHO S/D Full Dose, RhoGAM—1 vial
acute renal failure, pain at injection site, fever IM IV standard dose (300 mcg) within 72 hr
of delivery. BeforeDeliveryIM (Adults):
Hyper RHO S/D Full Dose,
RhoGAM—1 vial standard dose (300
mcg)at 26 – 28 wk.

Contraindications/Precautions
Prior hypersensitivity reaction to human immune globulin,
Rh (D) or DU positive patients P: ITP patients with
pre-existing anemia Nursing Interventions
Interactions Decreased antibody response to some live Assess vital signs
Monitor for s/s of intravascular hemolysis-monitor platelet
virus vaccines such as MMR Client Education count-monitor CBC, hemoglobin. Type and crossmatch of mother
and newborn's cord blood must be performed to determine need
for medication. In Pregnancy:Type and crossmatch of mother
and newborn’s cord blood must be performed to determine
need for medication. Mother must be Rho (D)-negative and
Du-negative. Infant must be Rho(D)-positive. If there is doubt
regarding infant’s blood type or if father is Rho
Interactions (D)-positive,medication should be given. An infant born to a
woman treated with Rho(D) immune globulin antepartum may
have a weakly positive direct Coombs’ test result on cord or
Liver virus vaccines infant blood. ITP:Monitor platelet counts, RBC counts,
hemoglobin, and reticulocyte levels todetermine effectiveness of
therapy

Client Education
eduacte client about the signs
and symptoms of intravascular
Evaluation of Medication Effectiveness hemolysis(IVH) (back pain,
Prevention of erythroblastosis fetalis in the future Rh (D) shaking chills, fever,
positive infants. Prevention of Rh (D) sensitization hemoglobinuria), anemia,
following incompatible transfusion. Decreased bleeding andrenal insufficiency) and that
episodes in patients with ITP. they should be reported to a
healthcare person

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